Suicidal Ideation Case Studies

Ms. Cox is a 16 year old female who presented to the ED following having chest pains this morning after waking up. She reported to ED staff when asked about suicidality, she has recently had thoughts of self-harm and has a history of suicidal ideation. Dr. Gentry requested an assessment to further evaluate. At the time of the assessment Ms. Cox was accompanied by her foster mother. Ms. Cox denies current suicidal ideation. She reports thoughts of self harm has been occurring on and off since she was in middle school. She reported suicidal ideation with multiple plans to hang herself or shoot herself were ideas she had in the past when she was in middle school. She reports current stressors as school related with grades. Ms. Cox expressed depressive symptoms as feelings of hopelessness, tearfulness, and sadness. She admits to a history of cutting behaviors to cope with anxiety. Ms. Cox a history of

Cox mother, Mrs. Cox, reports the family has been looking into religious counseling to aid with Ms. Cox issues, however are will to engage in outpatient therapy. Mrs. Cox expressed she had her foster daughter for most of her life, and there is no history of self harm to her knowledge. Mrs. Cox reports no hospitalizations either. Mrs. Cox reports if outpatient was the disposition she will be willing to follow up with an outpatient provider, monitor her daughter's behavior more closely, and continue to engage her daughter in positive activities. She reports no guns or other weapons are in the

Gentry and Howard McQuirter, LCSW. They both share the disposition that the patient should be discharged pending her agreeing to follow up with outpatient services. Patient has agreed to follow up with outpatient services as recommended. The patient's family member has been contacted and made aware of the plans concerning the patient. Patient contracted for safety, was given outpatient referral information, and completed a crisis